# ELLEN KUDROW NP IN PSYCHIATRY AND NP IN FAMILY HEALTH PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548955586
- **Authorized official:** MIA CAMILLIERE PHD (OFFICE MANAGER/PATIENT COORDINATOR)
- **Authorized official phone:** (929) 992-3202

## Contact information

- **Practice address:** 350 91ST ST STE 1A, BROOKLYN, NY 11209-5853
- **Practice address phone:** (929) 992-3202
- **Practice address fax:** (929) 323-0474
- **Mailing address:** 350 91ST ST STE 1A, BROOKLYN, NY 11209-5853
- **Mailing address phone:** (929) 992-3202
- **Mailing address fax:** (929) 323-0474

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/06/2023
- **Last updated:** 01/18/2026